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“一病一品”项目在心房颤动患者护理实践中的应用 被引量:3

Application of "disease-characteristics nursing quality improvement" program in the nursing practice of atrial fibrillation patients
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摘要 目的探讨“一病一品”项目在心房颤动患者护理实践中的应用效果。方法北京大学第一医院心内科通过以患者为中心,以循证护理为根基,制订心房颤动“一病一品”项目。观察并比较实施前(2014年)和实施后(2015年)患者满意度、护士工作满意指数和疾病管理指标的差异。结果实施心房颤动“一病一品”项目前后进行比较,患者满意度分别为90.0%(135/150)和96.8%(149/154),华法林用药知识良好及以上比例分别为74.3%(78/105)和90.2%(101/112),国际标准化比值达标率分别为79.0%(83/105)和91.1%(102/112),按要求电话随访比例分别为57.3%(86/150)和85.7%(132/154),按要求门诊随访比例分别为72.0%(108/150)和83.1%(128/154),以上差异均有统计学意义(χ2=5.408~30.171,均P〈0.05),护士工作满意指数分别为(135.19±19.17)分和(178.37±18.46)分,差异有统计学意义(t=-13.577,P〈0.05)。结论心房颤动“一病一品”项目是提高心房颤动患者护理质量行之有效的方法。 Objective To explore the application of "disease-characteristics nursing quality improvement" program in the nursing practice of atrial fibrillation patients. Methods On basis of patient-centered and evidence-based nursing, the cardiovascular department of Peking University First Hospital made the "disease-characteristics nursing quality improvement" program. The differences of patients' satisfaction, the index of work satisfaction of nurses, the index of disease management before (2014) and after (2015) the implementation of "disease-characteristics nursing quality improvement" program were observed and compared. Results Before and after the "disease-characteristics nursing quality improvement" program, the patients' satisfaction were 90.0% (135/150) and 96.8%(149/154), the rate of well warfarin knowledge were 74.3%(78/105) and 90.2%(101/112), the compliance rate of international standardization ratio were 79.0% (83/105) and 91.1% (102/112), the rate of telephone follow-up as requested were 57.3% (86/150) and 85.7% (132/154), the rate of outpatient follow-up as requested were 72.0%(108/150) and 83.1%(128/154). The differences all above were statistically significant 0(2=5.408- 30./71,all P 〈 0.05). Before and after the "disease-characteristics nursing quality improvement" program, the scores of the index of work satisfaction were (135.19±19.17) and (178.37±18.46) points. The difference was statistically significant (t=-13.577, P 〈 0.05). Conclusions The "disease-characteristics nursing quality improvement" program is an effective method to improve the nursing qUality of patients with atrial fibrillation.
作者 叶晶 郁莉芬 郑一梅 霍东波 张蕊 王冉 Ye Jing, Yu Lifen, Zheng Yimei', Huo Dongbo, Zhang Rui, Wang Ran.( Department of Internal Medicine, Peking University First Hospital, Beijing 100034, China)
出处 《中国实用护理杂志》 2018年第4期260-264,共5页 Chinese Journal of Practical Nursing
关键词 心房颤动 护理 “一病一品”项目 Atrial fibrillation Nursing care "Disease-characteristics nursing quality improvement" program
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